Guardian Angel Home Health Agency Inc

This Condition of Participation, 484.55 Comprehensive Assessments of Patients, is not met as evidenced by: Based on record review, observation, and interview, the Home Health agency (HHA) failed to ensure: G514: An initial comprehensive assessment was conducted within 48 hours of the patient's…

This Condition of Participation, 484.60 Care Planning, Coordination of Services, and Quality of Care, is not met as evidenced by: Based on record review, observation, and interview, the Home Health agency (HHA) failed to: G572: Develop a plan of care for one of five sampled patients.

This Condition of Participation, 484.70 Infection Prevention and Control, is not met as evidenced by: Based on record review, observation, and interview, the Home Health agency (HHA) failed to: G682: Ensure staff followed the infection control and prevention standards and procedures when providing…

This Condition of Participation, 484.75 Skilled Professional Services, is not met as evidenced by: Based on record review, observation, and interview, the Home Health agency (HHA) failed to: G706: Provide and document accurate ongoing assessments for four of five sampled patients.

This Condition of Participation, 484.105 Organization and Administration of Services, is not met as evidenced by: Based on record review, observation, and interview, the Home Health Agency (HHA) failed to: G958: Ensure the Director of Patient Care Services provided sufficient oversight of patient…

This Condition of Participation, 484.110 Clinical Records, is not met as evidenced by: Based on record review and interview, the Home Health agency (HHA) failed to ensure patients clinical records were: G1012: Complete and included all nursing notes for three of five sampled patients and all…

The Home Health Agency (HHA) failed to ensure the health assessment information entered into the patient's Initial Comprehensive Assessment (ICA)were accurate for one of five sampled patients(Patient 1).

The Home Health Agency (HHA) failed to develop a plan of care (POC), for the certification period from 2/22 to 4/22/19, for one of five sampled patients (Patient 4).

The Home Health Agency (HHA) failed to provide care in conformance with physicians' orders for three of five sampled patients (Patients 2, 3, and 4).

The home health agency (HHA) failed to follow the infection control and prevention practices when providing care to three of three observed sampled patients (Patients 2, 3, and 4) during the home visits.

The Home Health agency (HHA) failed to ensure oversight of patient care services for five of five sampled patients (Patients 1, 2, 3, 4, and 5), clinical operations, and HHA personnels were implemented by the Director of Patient Care Services (DOPCS) as indicated in the agency's policy and…

The Home Health Agency (HHA) failed to ensure the clinical record entires were authenticated with name, title, initals, or signature of staff making entries or changes for one of five sampled patients (Patient 1).

The Home Health Agency (HHA) failed to ensure an initial comprehensive assessment was conducted within 48 hours of the patient's return home or on a physician's ordered start of care (SOC - admission to the HHA) date for one of five sampled patients (Patient 1).

The Home Health Agency (HHA) failed to ensure the comprehensive assessments for two of five sampled patients (Patients 3 and 5) included the required information to reflect a full status and health condition of the patients.

The Home Health Agency (HHA) failed to ensure the comprehensive assessments for four of five sampled patients (Patients 1, 3, 4 and 5) were complete and included all the required information.

The Home Health Agency (HHA) failed to perform an accurate review of medications for three of three observed sampled patients (Patients 2, 3, and 4) in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug…

The Home Health Agency (HHA) failed to include all pertinent diagnosis in a plan of care (POC) for one of five sampled patients (Patient 1).

The Home Health Agency (HHA) failed to obtain a physician's order for a home visit for one of five sampled patients (Patient 1).

The Home Health Agency (HHA) failed to ensure a plan of care (POC) was reviewed by the physician and revised at least every 60 days, to reflect the care needs for one of five sampled patients (Patient 3).

The Home Health Agency (HHA) failed to notify the physician, when one of five sampled patients (Patient 2) developed a new symptom (odor), potentially indicating a wound infection.

The Home Health Agency (HHA) failed to coordinate the necessary care services for two of five sampled patients (Patients 1 and 5).

The Home Health Agency (HHA) failed to ensure a medication schedule with instructions was in the home for one of three observed sampled patients (Patients 3).

The Home Health Agency (HHA) failed to provide and document accurate ongoing assessments for four of five sampled patients (Patients 1, 3, 4, and 5).

The Home Health Agency (HHA) failed to provide the services indicated in the plan of care (POC) for four of five sampled patients (Patients 1, 2, 3, and 5).

The Home Health Agency (HHA) failed to provide the necessary patient/caregiver education to five of five sampled patients (Patients 1, 2, 3, 4, and 5) as prescribed by the physicians.

The Home Health Agency (HHA) failed to communicate with the physicians for three of five sampled patients (Patients 1, 3, and 5) related to: Patient 1: The HHA did not clarify the physician's order when the order indicated to perform wound care on the middle abdomen, instead of on the right leg.

The Home Health Agency (HHA) failed to ensure the clinical records were complete and included all nursing notes for three of five sampled patients (Patients 3, 4, and 5).

The Home Health Agency (HHA) failed to ensure patients clinical records had documentations of the home health services rendered in three of five sampled patients (Patients 3, 4, and 5): 1. Patient 3's nursing notes did not reflect the wound care treatment interventions implemented.